Mavie Clinic Professional Nursing Corporation
NPI #1245189190 in Patterson, California
Provider Information
- NPI Number
- 1245189190
- Entity Type
- Organization
- Organization Name
- Mavie Clinic Professional Nursing Corporation
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 23, 2026
- Last Updated
- Jan 26, 2026
Practice Location
- Address
- 109 PORTRAIT LN
- City
- Patterson
- State
- California
- ZIP Code
- 95363-8341
- Phone
- (209) 806-4841
Authorized Official
- Name
- MUKHTAR KOHISTANI, FNP-C
- Title
- PRESIDENT
- Phone
- (209) 806-4841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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